Professional Documents
Culture Documents
Culture - Society - Education
Culture - Society - Education
Tomasz Kasprzak*
Adam Mickiewicz University, Poznań
KEYWORDS ABSTRACT
multiple education, Czech Re- Kasprzak Tomasz, Analysis of discourse on education and
public, special education, peda- rehabilitation of people with disabilities coupled in the
gogical research Czech Republic. Culture – Society – Education no 2(16)
2019, Poznań 2019, pp. 225–234, Adam Mickiewicz
University Press. ISSN 2300-0422. DOI 10.14746/
kse.2019.16.14.
Foreword
* ORCID https://orcid.org/0000-0003-0955-3464.
** This paper is a continuation of and supplement to my previous paper: T. Kasprzak, Education
of pupils with multiple disabilities in the Czech Republic, „Interdyscyplinarne Konteksty Pedagogiki
Specjalnej (“Interdisciplinary Contexts of Special Pedagogy”, English edition), no. 22/2018.
226 Tomasz Kasprzak
tion and rehabilitation of persons with disabilities has been the subject of numer-
ous deliberations of special needs educators in the Czech Republic (Bełza 2015;
Kasprzak 2017, 2018, 2019a, 2019b; Sovák 1986; Souralová 2001; Ludíková 2003;
Vašek 2003; Proházková 2005; Pipeková 2006; Vítková 2006). I decided to explore
the understanding of this category – as the object of pedagogical research – in
Czech institutions. First of all, this paper is not a review of the achievements of
Czech special needs education in terms of multiple disabilities studies; rather it is
an outline presenting the information I have gained so far. In my paper, I would
like to discuss the problem of the population of persons with multiple disabilities,
which, undoubtedly, is a very diversified group, mainly due to the co-existence of
different types and degrees of disabilities.
Lucie Proházková defines multiple disabilities as a phenomenon that has mul-
tiple symptoms, multiple factors and multiple causes and is manifested by signif-
icant cognitive deficits in the area of communication (2005: 26–31). Meanwhile,
Andrzej Twardowski emphasizes the fact that “multiple disabilities are not a sim-
ple sum of individual impairments, but instead, they are a specific, separate and
complex whole” (2001: 131).
Problems caused by multiple disabilities exist on several dimensions. We
should focus on defining the level of engagement, communication methods and
cognitive functions. Etiological factors causing multiple disabilities are very diver-
sified. Combined impairments may occur at every stage of ontogenetic develop-
ment. Their source may be hereditary factors or innate factors.
The post-communist social changes that took place in the Czech Republic after
1989 may not be reduced to mere economic transformations or changes in the
economy, technology and education. In the last two decades, there has been a rap-
id, almost global development of new technologies, built on the conditions of the
“information age”, pertaining to the post-industrial phase of capitalism. The idea
of free market economy gained wide approval and became the foundation for con-
temporary democratic states. The motto of the anti-communist “velvet revolution”
of 1989 in Czechoslovakia – the “Return to Europe” meant returning to the Euro-
pean community and building a wealthy society. In the Czech Republic, the tran-
sition from communism to democracy is considered to have been successful. The
political system is stable and the standard of life of the Czechs is constantly grow-
ing. Despite the successes, persons with disabilities – the group that was the most
Analysis of the discourse on education and rehabilitation of persons 227
disadvantaged by the political transformation after 1989 – are left out (Kasprzak,
2019b).
Problems caused by multiple disabilities exist on several dimensions. We
should focus on defining the scope of engagement, communication methods and
the area of cognitive functions. Etiological factors that cause multiple disabilities
are very diversified. Combined impairments may occur at any stage of ontogenetic
development. Their source may be hereditary factors or innate factors. Dagma-
ra Opatřilová identifies the following multifactorial complex conditions causing
multiple disabilities: contamination; poisoning; developmental disorders; meta-
bolic disorders; disorders in the functioning of the central nervous system (CNS);
chromosomal disorders; environmental factors; mechanical brain damage; central
nervous system dysfunctions as a result of complications during pregnancy or de-
livery (Opatřilová, 2005: 12).
In the Czech Republic, a person with disability is defined on the basis of the
following regulations:
− zákon č. 108/2006 Sb. o sociálních službách [Act no. 108/2006 Sb. on So-
cial Services]: disability is understood as physical, intellectual, auditory,
visual or mixed limitations that make a person with disability dependent
on another person;
− zákon č. 198/2009 Sb. o rouvné zacházem a právních prostředcích ochra-
ny pied diskriminací (antydiskriminací zákon) [Act no. 198/2009 Sb. on
Equal Treatment and Protection Against Discrimination, as amended]: dis-
ability means physical, sensory, intellectual or other limitations that deprive
disabled persons of their right to equal treatment within the areas provided
for in the Act. Such limitation must be prolonged, lasting for at least one
year;
− zákon č. 155/1995 Sb. důchodovém pojištění [Act no. 155/1995 Sb. on Old
Age Pension Insurance], which defines disability as a prolonged condition
of bad health that negatively affects life and health.
The Czech analysis of the problem emphasizes the inconsistent use of the
term of disability. Generally speaking, there is no single definition of disability
in that country. Yet, there has been an evident change in the paradigm, in which
the definition of a person with disability does not provide for their weakness-
es, instead accentuating their potential and the support and help they receive.
To name the condition in which a person has a combination of any two or
more types of disabilities, the Czech literature on the subject uses several anal-
ogous terms defining multiple disabilities: manifold disabilities (vícenásobné
postižení), “combined disabilities” (kombinované postižení). The three terms
228 Tomasz Kasprzak
are treated by specialists as synonyms and are in line with the latest trends in
special needs education. In the Czech special needs education, multiple disa-
bilities (kombinowané postižení) mean the occurrence of several disabilities in
a given person. It should be noted that each disability may take different forms
and degrees of intensity. According to Miloš Sovák (1986: 231), multiple dis-
abilities mean the occurrence of several impairments in one person that con-
cur and are a direct cause of abnormalities in psychosocial and psychosomatic
development. Marie Vitková (2006: 302) understands multiple disabilities as
the overall complex of the limitations of a person, in all areas of the person’s
life. A person has reduced emotional, cognitive and communication skills. He
stresses the fact that it is impossible to identify any “main symptoms of multi-
ple disabilities”.
The Government Committee for the Disabled (Vládní výbor pro zdravotně
postižené občany), in its National Programme for creating equal opportunities
for persons with disabilities (Národní plán vytváření rovných příležitostí pro osoby
se zdravotním postižením na období 2010–2014) published in 2010 for the years
2010–2014 describes disability as “a prolonged condition of bad health that has
not significantly improved and has not been eliminated. This situation, in most
cases, is independent of human will”. In 2009, the Czech Republic adopted the UN
Convention on the Rights of Persons with Disabilities. The country that adopts
this document is obliged to ensure observance of all the rights and freedoms of
the individual, mainly based on the social integration of those persons. Persons
with multiple disabilities in the Czech Republic represent a minimum share of the
population, but their number has been constantly growing for a long time. Due to
the diversity of multiple disabilities, it is hard to determine their exact number. The
concept of multiple disabilities covers a relatively wide range of all kinds of disabil-
ities that, combined with one another, may cause different degrees of disabilities.
The Ministry of Education and Sport of the Czech Republic (Ministerstvo školství,
mládeže a tělovýchovy České republiky) has divided multiple disabilities into three
basic groups:
− The first group: intellectual disability is the dominant factor in this group.
• Intellectual disability + sensory impairments (sensory integration disor-
ders);
• intellectual disability + speech disorders;
• Intellectual disability + autism;
• Intellectual disability + mental disorders;
− The second group: the dominant factor is motor disability and sensory inte-
gration disorders, speech disorders that combine with one another;
Analysis of the discourse on education and rehabilitation of persons 229
− The third group: the dominant factor is autism and its basic features: – au-
tism + intellectual disability;
• Autism – sensory impairments (sensory integration disorders);
• Autism + motor disability;
• Autism + speech disorders;
Meanwhile, Lili Monatová (1995: 59) presents a somewhat different division of
persons with multiple disabilities:
− The primary disability (chronic diseases, motor disability, intellectual dis-
ability);
− Combination of intellectual and motor disabilities with hearing and speech
disorders and mental disorders;
− The most serious disabilities:
• Motor disability with visual impairments;
• Motor disability with hearing impairments;
• Simultaneous vision and hearing damage with speech disorders;
• Cerebral palsy with motor and intellectual disabilities and speech disor-
ders.
Štefan Vašek (2003) divides persons with multiple disabilities into three
groups of symptoms, which are associated with: (1) intellectual disability,
(2) deafblindness – simultaneous visual and hearing damage, (3) behavioural
disorders combined with other disabilities. In order to find the right approach
and understand the difficulties caused by the occurrence of multiple disabilities,
it is worth quoting the four models (concepts) described by De Jong (Broeakaert,
1999: 410).
The index model Multiple disabilities exist when a person has two or more impairments
model sčítání (skládání) whose gravity is equal to the sum of individual difficulties associated
with a given disability.
The multiplication model In this model, two or more impairments also form multiple disabilities,
model násobení however, their gravity increases much faster than in the previous model.
The steps model In this model, the central element is the specificity of the functioning
model schodu of a person with multiple disabilities. When planning intervention, first,
the person’s problems need to be identified and on this basis, subsequent
stages should be defined “step by step” in order to eliminate or mitigate
the diagnosed disabilities.
The circle model In this model, two or more impairments affect the functioning of the
model kruhu body of a person with multiple disabilities, also between one another.
Source: Own elaboration based on: Broekaert, 1999; Zikl, 2005
230 Tomasz Kasprzak
These models are the condition to find the right approach to the most diversi-
fied group of persons with disabilities. It should be noted that multiple disabilities
are not a simple sum of different disabilities. Libuše Ludíková (2005: 42) notes that
the problem of combined disabilities is one of the most complicated domains in
special needs education, and it has not been described in detail. The Bulleting of
the Ministry of Education no. 8/1997 says that:
we speak of a child with multiple disabilities only if the child has two or more independent
forms of disabilities, and the consequence of each of the respective disabilities is the place-
ment of the child in special needs education. (Věstník MŠMT ČR č. 8/1997)
The provision of education to persons with multiple disabilities in the Czech Re-
public depends on the degree of disability. Apart from the family and state institu-
tions, in the last two decades, numerous non-government, social, charity and reli-
gious organisations and civic associations have developed that help provide access
to education to persons with multiple disabilities. Considering the fact that special
needs education deals with such persons increasingly often, relevant educational
possibilities need to be found in order to help them achieve the highest level of
independence possible.
Education of adults with multiple disabilities is mainly provided by evening
schools. Jarmila Pipeková (2006: 283) notes that “evening schools are very im-
portant form of continued development of adults with multiple disabilities, stim-
ulating their social contacts and enabling them to spend their free time in the
right way”. Courses in evening schools are mainly a chance to get some training.
Vocational education of persons with multiple disabilities in the Czech Republic is
provided by public and non-public institutions. Children with multiple disabilities
may receive pre-school and early childhood education at home or in special needs
institutions (e.g. social care centres).
The education of persons with multiple disabilities is guaranteed on the basis
of such documents as:
− Listina základních práv a svobod v čl. 33. Ústavy České republics [The
Charter of Fundamental Rights and Freedoms (the right to education is
provided for in Article 33 of the Constitution of the Czech Republic)]: it
Analysis of the discourse on education and rehabilitation of persons 231
Table 2. The most important principles in the education of persons with multiple disabilities
The principle of clarity This concerns mainly special needs schools. It is important to re-
Zásada názornosti alise that children with multiple disabilities find it very difficult to
generalise concepts. Pupils acquire knowledge through teaching aids
and with their help, they perceive the world around them by seeing,
hearing and touching.
The principle of It involves selecting the right model, content and teaching struc-
proportionality tures, adequate to the age, skills and level of disability of the respec-
Zásadou přiměřenosti tive pupils.
The principle of cohesion It is particularly important for teachers who should choose this
Zásada soustavnosti teaching method in order to solidify the pupils’ existing knowledge
and social skills.
The principle of durability It concerns the skills and habits that persons with multiple disabil-
Zásada trvalosti ities need to practice regularly. The teacher should enable pupils to
use the skills they have learned in social life.
The principle of pupil’s The awareness of acquiring new knowledge is important for pupils’
awareness and active future experiences. This process should start as early as possible.
participation Thus, pupils should be acquainted with what will be happening in
Zásada uvědomělosti a aktivity the classroom, what tasks they will be expected to do and how they
žáků can use their knowledge and broaden their interests.
The principle of individual It enables reducing the number of pupils in a classroom and the pres-
approach ence of two teachers during classes.
Zásada individuálního přístupu
Source: Own elaboration based on: Valenta, Müller, 2013
Conclusion
Every tenth citizen1 of the Czech Republic is disabled. Many of them live in small
towns or villages, where they have no access to education. The problem of multiple
disabilities is still little known among the Czech society. This is mainly due to lim-
ited awareness; many people think multiple disabilities to be something abstract.
The direction and dynamics of changes in the field of the education of persons
with multiple disabilities provide many useful guidelines concerning the need for
systemic changes, and, most importantly, the integration of those persons with
the rest of the society. In the light of the main idea of this paper, of the observed
changes in the Czech society, the positive ones are those that build an environment
conductive to creating open education for those persons. The negative ones are
those factors that hinder the process – by this I mean mainly the prejudices held
against “the other” in the Czech society. The direction of changes taking place in
1
The total number of persons with disabilities in the Czech Republic is 1,077,673. Results pur-
suant to the research: Vybrané údaje o sociálním zabezpečení (2015)
234 Tomasz Kasprzak
the Czech Republic in terms of the approach to persons with multiple disabilities is
in line with the spirit of international instruments concerning the rights of persons
with disabilities (e.g. the Convention on the Rights of Persons with Disabilities of
the Declaration of Human Rights).
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